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1656 Oakbrooke WayAddress 1656 oakbrooke way Zip 5512 2 Lot 3 Blk Sub Oakbrooke 3rd THESE 1'TEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: 1-3' I`A 19 I Yes No Inspector Final grade (6" from siding) Permanent steps (gazage) Pertnanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded gtass TtaiUcurb damage Porch Basement finish Deck Please vetify with the builder the removal of roof test caps from the plumbing system and the shu[-off of water supply W t6e outside Iawn faucet before freeze potentiai exisfs. Contact engineering division at 681-4645 before working in right-of-way or insfalling underground sprinkler system. Whice - City Copy Yellow - Resident Copy Pink - Contractor Copy w ???*X•??????°(?M??????* 1????????*.?M?S*?S,\??? C:ITY OF 1=FlGAN CFlSWTI_R: tQ 7ERMIUAL NUe 75$ 4A'Tr=n 0903!99 '1"IP1E:: 1.409eP3 Ilie NAi1E'r PUI.-7F HA57'EPZ HU:G_L,Efi i' y252 :j2t^'.0 1656 Ci(aKBROGK N 30.00 3210 9001 1656 (IANNn00i: N 958„75 3866 9:379 16`io OAf:7tROCl{ W tUo.O] 3422 9001 056 OAI•.BRDCF: A 62329 c?r.?!S 9r?2C 1656 UFlF.NRCJUF\ W 17039a50 3446 9001 1656 Ch^-.I(BFiUOh' :J iC).::,J 055 _=tGCli 1656 OfiF'.Bii!)Qi; W C.1..50 3741 9220 056 0A1;BFt009 1+i 59.00 055 ?CIQi :iE,SF. D!-tE:fcftC!OI; 1' 47.50 3868 3i @0 16.56 QAVPFiODi< i'I 4610.00 rF.0s,04 rONT.NUE: I.aSc:? 7T)e 'FiN *E: rriNT'TNuL-' ?Ck(?rti?kR(;Y%R:SC#?C??C?:YFY;?;hqtYF?:9FX,(?ii;?tYF?c?k8•? C;ONT}.NIJf GS7Y OF EAGAN CASH]:h:4 ?;i i "fF.::RMTVAL N0: 75$ 4F5TE; 0903/99 l'It1E:e 14.39r30 zD. yAMe;, rvi_rE; r+flsrFR Du.r.i.DFR 370 9220 1656 onKziROaa: w W.00 aria 9220 056 oAKx;f;crai: w 50.00 +:I865 9220 056 f.fA4;BFU01: 14 825.00 '('ol:.i1 Frr>cEriF,i: Amouni:a 4y;;1t;..`14 CF I.i.691A US'L-"fi II': JFtN 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EACAN C? ?{- ?o b 1 ? 3830 PILOT KNOB RD - 55122 D 651-681-4675 aj --i -? ?( New Construction Reaulrements Remodel/Renair Reauirements ? 3 regfsfered sHe surveys showing sq. H. of lot, sq. H. of hovse 2 copies oi plan and all roofed areas (20% maxtmum lot coveraae allowed) 7 aet ot energy calculations for heated addHions > 2 copies ot plans (show beam & wtndow skes; poured fnd. design; efc.) 1 sRe suney for exterior addRlons S decks 1 set of energy calculWlons > 3 coples of free preservatfon plan R lot plaTled aMer 7/7193 DATE: e- -4t - -\Cl CONSTRUCTION COST: DESCRIPTION OF WORK: NQW Srm?,? Sr? ^^• \'?, STREETADDRESS: \lvJ?o LOT: -1 BLOCK: \ SUBD./P.I.D. #: Name: Phone #: PROPERTY Lan Ftrst OWNER Street City State: Zip: Company. Phone A?\ G?A (area code) CONTRACTOR StreetAddress??ucense# 13??) Exp.3?3r?z? State: \v\`i\. Zip:SS \Zo ARCHITECT/ ENGINEER Company::%T&""Q Name: Telephone #: area code ( ) Sireet Address: Regfstration #: City State: Zip: Sewer & water licenaed plumber (reaulred for new consfruction onlv): voj&?n ??? ?.. Penalty applfes when address change and lot change Is requesied once permH Is issued. (? I a - ?? I hereby acknowledge tha} I have read this applicafion, state that fhe Info? tfon Is rtect, a agree fo comply wlfh all applicable Siate of Mlnnesota Statufes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY V ? I Certificates of Survey Received Tree Preservation Plan Received ?Yes _ No Yes No ? Not Required ? PU? ?,_ .:,?9 " 1 c OFFICE USE ONLY , BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) V 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-piex ? 14 Apartments ? 19 Lower Level O 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE 'gl 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 . Windows/Doors ? 33 Alteration ? 37 Demolish Bidg.' ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof * Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width APPROVALS Planning Permit Fee Surcharge Flan Review License MClES SAC City SAC Water Conn. Water Meter Acct. Deposit 5/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies sq.ft Footprint sq. ft ? ? ? a? Building 124L Engineering Census Code SAC Cade No. of Units No. of Bidgs MC/ES System City Water Booster Pump PRV Fire Sprinklered 'l Variance Valuation: $ J'r ovJ !Yk 3S- rSY? -?o?i rp/ -1- l/, x13 ? .=- of 2?? iba8 yt?4K?sy £ F???Ia. ??e a0 /t 16 -= JYNb 41 /k, 7v?0 ?y? 95 a Total: ?11 `-l 3 I (Q -Q ci SAC Units ?? " C? Basement sq. i M l l ft. ft ? - a n eve sq. . ?? ??GHsq. ft. ? sq. ft. ? ? sq. ft. % SAC - LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION PROPERTYLEGAL. LOr 3 &?)eA / 04K32oaKE DATE OF SURVEY: 5- IS ? 4c/ LATEST REVISION: a - 3 - TI DOCUMENT STANDARDS ? ? • Registered Land Surveyor signature and company / ? • BuildingPermitApplicant d ?• ? ? Legal description m/ ? ? • Address Z? c o • North arrow and scale p"p ? ? House type (rembler, walkout, splR w/o, splR entry, lookout, etc.) ? o DuecUanal drainage arrows with slopelgredient % 0 ? • Proposed/eadsting sewer and water services & invert elevadon e-? cl ? • Street name o,"? / ? • Drneway p ; ? • Lot Square Footage ? ? ? • Lot Coverage ELEVATIONS Ew'stina ? ? • Sewer service (or Proposed) V? ? • Propertycomers vo ? • Top of curb at the driveway ;/o ? • ElevaGOns of any ebsting adjacent homes o Adequate fooUng depth ot structures due to adjacent utiliry trenches Prooosed ? ? • Garage floor p? o ? • First floor ? ? ? Lowest exposed elevaUOn (walkout/window) g ? . Property corners o Front and rear of home at the foundation PONDING AREA (if aodicade) ? • Easement line o q' • NWL ? ? • HVYL ? ? • Pond # designation ? ? • Emergency OveAlow Elevadon OIMENSIONS ? ? • Lot lineslBearings 8 dimensions a ? • Right-of-way and street width (to back of curb) 2,0 ? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (i e. aA structures requuing permanent footings) mll- ?0 ? • Show all easements of record and any Ciry uUUties within thaae easementa e, a,d • Setbacks ot proposed structure and sideyard setback of adjacent ebsting structures ? m? ? • Retainmg wall requitements, 6 any Reviewed: Name Mereh 1999 cnAr.43Lucvnnrt FM .v. , C` 1.r.a+ x orero w? c o...x? ? z?•c e. ?• wn e. ie........w ?.ne c,.-.-p r.ew se h..' vM+ r• .-:-? .. s ?n•.r'es i o?a?.na ? e. ne n. ru.: ne ?.a e -o- M ??e er D.[ ;ol mun a W mv Nrz ?.a P? cw • er i..?... ?...e. une. OAKBROOKE 3RD ADD/TION ? e.• ?? 1 ' ?0 • ? ?% Pw 11 ` ? .Pr Q ??3 4+ 1 / ap M.' ?B B ? N a 8 VOT • ?-Y_' 1? Y B, ?y^ nNr oce GINITYMAP ? '? ? ?? xw•?o ,+.?w? i '+'s ?rf6 ??? x< zi r n . :? • Y?VB ? "?A??, r 9 ?? '?. Y? ?? ?fi ?? ?i p? I$' r ?e t? ? . _ 5i? " a \ , ? ? ?. ?j7 •b F8 ?n w s»?xa-•nr °° a 3? .? /4l[' ?o' q, ?., . e...... .do y? > ag 8 L ST'J'YT? AbT h4 i 'ir M Y/ 8 4+?r \ 'B ?"aJ? ??* J f`?? ? _.._ _ _ ? ? ? \ .,,?M? ?, • /C? 0 0?t /*\ ? L. - _ - -- - - - ,t ".. ? ..i ..A ? , . - ?'° 't? ! ? .?,? e+, ? <,. ?DsjE ? q -- __ ,m.,. r tiirs ' u„ua!t mm ? n we.+._.. ? f? e i ?, .• °r7 ? ?M}?) ? a ? WM3 Cm SS ran rt?e \ '... b?9x?i?? • ?j BrFi'"S? Y]fY q ' Hp E1 ? `\.___ r+ ? ?e Y55m i . \ J ? { y?,?pu e?t vnvnn=? ? PD ?? A ? ?' &= Vrq?? s ? ?e ?LSfi n P.rt f ? G ,.xt --'---------- ?ys's""rnm ?Aa.sei t " mn.? a? .. J ` / PE '^0 , _ ?° F'e vL?C» ; /? r .,?•?: 5--?, j= rz i S, 't w{? y? 9 L:? x L? 1??'??, 'b• _.--__ I J '_'__'__'________ -- I ? I I j I ? I ? I ? 1 ee o m rn 1ee Scole In Feet HEDLUND R/? fM'wYlMnL' AePKMM; ( • \ \ \ \ ? \ n ? V ? anLtI t ? [ ?ncc u Cities Diaital Qualitv Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. I V- EX7ERf01t Eh?'Ei . . . ____..,?...,,_ , %' ' ,/t•9 ? Ot?ttLR: ?::, _ ,- ?. . ti,1K.>.Y...• : , .....___....,..._.,_..__.._._......_____ _._._ !ilVE AQ!7REriS: \???P ? UGt,??:C,^2L1\?!i?_ ..._.__...__._._..__.,...t._._.._.__...,..?..._ ? .._..._.,W.,_..,.,..?..w ..._.'"'_" _._ ....?,?_,._._._..._....?.. . . 2 3• ioi.at. Ex?O?c?? 7pidl f:UOt/Crll.:NG Tf1II?r"1......., _._._._.._ -.,,?._... 107A1. En?OSc:! 4AY.;, ARC•A CALI:ULA.i ;T'ti Total expOS«:ri 'dS1T .7 ,.1,..;/: ar*:a abovt ._._.._.;,t._. ? .?._.. . a} 7ota1 wa3i +vir:doW arr.a: bc?LF?LE n 1 azrv. .. . . . . . , . :* ? t .. ?U 'L ? y..? 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Pr?Y.?ri,?w ai•• `ilfti i).f•1 _.y._.._...._..?,_. ?...,......__._.__.._.._..?...._ (stitt) ---- . Inc:rrs Su"C wcod .,.,,._.. ?.,...._.,.._._. ...--sf?TAi R ? ._. ;;?: ,?..--....?....._...._............_..---•.-..?...._??_.__...? ?-. i ?+YM 4 iirrCi..?"??? _... f • • r' ' ? _ .. • . .. .,, .. ? > > Surveyor's Certificate SURVEY FOR :PULTe DESCRIBED AS : Lot 3, Block 1, OAKBROOKE, City of Eaqan, Dokota County, Minnsoto and reservinq easements of reco.rd. ?? L O 7 SQ. FOO TA GE HSE. SQ. FOOTAGE LOT COVERAGE _ 5`svT Plan # 17941 PROPOSED ELEVATIONS Top of Foundotion = q31.5 Garoge Floor =936.3 Basement Floor = N/n Aprox. Sewer Service = 929.6'- Proposed Elev. _ C=D Existing Elev. Drainoge Directions = - Denotes Offset Stoke = • = 3,080 = 2,109, 687o poG°No ?EQM?G°G0 ? q ` N r ?,. SCALE: 1 in<h = 30 feat y1 ?r ? ? 1 ? ? BENCHMARK, -rNH@ Cbkbrao{v YJa.d $ OqkbrookoTrai l. Efeu = 935.81 MIN. SETBACK REQUIREMENTS Front - House Side - Reor - Gorage Side- JOB N0: HEDL?/HD I HEREBV CERTFY THAT THI$ IS A TRUE AND CORRECT REPRESENTATION 99R-284 Of THE BOUNDARIES OF iHE ABO?/E DESCRIBED PROPERTY AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPORT TO BOOK: PAGE= PUNN/NG BNGINd6R/NC SURVBY/NC $HOW IMPROVEMENTS OR ENCROACHMENTS, E%CEPT AS SHOWN. 2005 Pin Ook Orive o pQ Eagon. MN 55122 DATE _l/_I_/ 7_/ • CAD FILE: PhOne: (651) 405-6600 . LINDG N, LAND VEYOR Fox: (651) 405-6606 N TA UCENSE NUMBER 14376 OAKBROOKE ?rrriv?n SFP 0 2 ?M EP.G,iUd 1:NGIlVEERIRIG I3EFT. CITY USE ONLY LOT ? BL RECEIPT SUBD. G?1J V)Yn0`J 2?`? RECEIPT DATE: I Q- ?? I I MECHA'YICAL PERMIT # J 0?? J 1999 MEcHAvicAL PERMrr (REsinENTIAL) ccrrYoFEtenrr S$SU P1LOT KN08 itD E.+16a1N hI14 55122 Date• tss» 6e1-4675 Complete this section onlv if you aze installing HVAC in a single family dwelling, townhome or condo under construcrion and not owner /occunied. r • HVAC: 0-100 M B T U ADDITIdNAL 50 M BTU • Gas outlets (minimum of one required @$3.00 ea.) 8 30.00 6.00 3,00 State Surchazge .50 Total Complete this secrion arlv if you are remodeling, adding to, or repairing an existing single family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. ? New _ Furnace _ Air exchanger SITEADDRESS: /(oJ OWNERNAME: f INSTALLER NAME.? STREET ADDRESS: l?- CITY: Alteration Aepair _ Other Reminder: Call 681-4675 for inspections. Air conditioning Other D 5 30A0 State Surcharge .50 Minimum Total Due $ 30.50 5 PHONE #: 112V (pRE4 DE) ?? NLla_K?vcc4?lK PHONE #- 4941GGvr? STATE: ZIP: 67:1 32 a ATURE OF PERMITI'EE ClTY USE ONLY L _ BL _ RECEIPT#: SUBD. RECEIPT DATE: APPROVED BY: , INSPECTOR MECHANICAL PERMIT#: 1999 M£CHANIClkL PERMTP (COMhiEtCIAL) GITY OF £AfiAiLR S$SO PILOT KNOB RD E4fiM, MN 551 EE (651) 6$1-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dweliing unit DATE: CUNT2ACC P:tICE: WORK TYPE: x1 New construction Install U.G. Tank _ Interior Improvement _ Remove U.G. Tank (Minunum Fee) _ Processed Piping (Minimum Fee) **NOT'E: When instal]ing/removing underground tank, call 651-681-4675 for inspecrion by fire marshal and plumbing inspector. DESCRIPTION OF WORK: FEES: 1% of conuact price OR $30.00 minimum fee, whichever is greater. CONTRACT PRICE x 1% PERMIT FEE STATESURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TENANT NAME (IMPROVEMENTS ONL1): INSTAI.LER: ADDRESS: CITY: ($.50 per 51,000 of vermit fee due on all permits.) PHONE #: (AREA CODE) PHONE #: - (AREA CODE) STATE: ZIP: SIGNANRE OF PERMITIEE L BL ' CITY USE ONLY ? SUBO. Qr?.?aYOak,e 3`-d RECEIPT #: I n * RECEIPT DATE: PERMIT # Y7 I 1999 PLUM$FNfi PERMIT (RE,.SIDENTIAL) crrY of Ewsm sSso Paor ttxo$ ttn E?aArr, Mrr ssi 2Q (651) 681-4675 Please complete for: 9 single family dwellings > townhomes and condos when permits are required for each unit 9 backflow preventer for underground sprinkler system FIXTIlRES EACH # TOTAL Bath tub $ 3.00 x 477 = $ - Floor drain 3.00 x = $ Gas i in outlet ' minimum - 7 3.00 X Hot tub/s a 3.00 x = $ - Kitchen sink 3.00 x = $ 31 Laundry tra 3.00 x = $ Lavato 3.00 x = $ - Minimum fee alterations to existin dwellin 30.00 x = $ Private Dis osal S stem newlrefurbished ` re uires MPC iic. 75.00 x ' $ Private Dis osal S stem abandonment 30.00 x = $ RPZ new installation/re air 30.00 x = $ Rou h o enin 1.50 x = 5 Shower 3.00 x = $ - Under round s rinkler if dwellin is under construction 3.00 x = $ Under round s rinkler if existin dwellin 30.00 x = $ Water closet 3.00 x = $ ? Water heater 3.00 x = $ - Water softener if dwellin under construction 5.00 x = S Water softener if existin dwellin 30.00 x = $ Water turnaround 30.00 x ---- _ $ State Surchar e ----> ----> $ 50 TOtal --? -? -_-' -"'> $ Rem.inder: Call !or inspectiors of alterations, 1,e. water heaters, wa!er softeners, etc. ---•----------•------•------•------••-------••-------•-------------------------•----------•----------•-•--------•--------------- I hereby aGcnowledge Nat I have read this application, state ttiat the informahon is correct, and agree to comply wifh all applicable City of Eagan ordinances. It is the applicanCS responsibiliry to notify the property owner that the City of Eagan assumes no liabdity for any damages caused 6y the City during its normal ope2Gonal and maintenance activitles to the facilities constructed untler this pertnil within City property/right-of-way/easement. SITE ADDRESS: OWNER NAME: : INSTALLER NAME: (AKtA I:UUt) TELEPHONE #: 4 k -?, ? 4 1- a?ar (AREA CODE) STREET ADD SS: (ll" CITY: STATE: Mal ZIP: k,,??a .r SIGNATURE OF PERMITTEE ?ITY USE ONLY /- ? 3 ? ? , RECEIPT #: t ?0 y 5VJ rv- SUBD. (a 1rI?C) RECEIPT DATE: 5- aCO` D"J PERMIT# LIJII-63 2000 PLUN4BING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, LA7 55122 651-681-4675 Please complete for. ? single family dwellings D townhomes and condos when permits are required for each unit A backflow preventer for underground sprinkler system FIXTURES EACH p TOTAL Afterations to existing dweliing - minimum fee Describe: $ 30.00 Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas piping outlet • minimum - i 3.00 x = $ - Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laund tray 3.00 x = $ Lavatory 3.00 x = $ - Septic System newlreturbished • requlres MPC lic. 75.00 x = $ Septic S stem abandonment 30.00 x = $ RPZ new inspllationrrepaidrebuim 30.00 x = $ Rough opening 1.50 x = $ Shower 3.00 x $ - Under round s rinkler ff dwelling is under construction 3.00 x = $ Underground s rinkler ff existing dweiling 30.00 x = $ Water closet 3.00 x .;2- = $ Water heater 3.00 x = $ Water softener if dwelling under consWction 5.00 x = S Water softener if existing dwelling 30.00 x = $ Water tumaround 30.00 x - = $ State Surcharge .50 -> -> -> $ .50 TOtal -> -> -> --? $ Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. 'I hereby sdcnowledge that I have reed this applics6on, stete that the inforrnation is corred, and agree to comply wiUi all eppiicable City of Eagsn ordinances. It is the applicenYs responsibility M notify the property owner that the City of Eagan assumes no liebility for any dameges pused by the City during its nortnal operational and meintenance activrties to the facilRies constructed under this permR within City propertylright-of-wayleasement. SITE ADDRESS: OWNER NAME: '. INSTALLER NAME: TELEPHONE #: ?22! " -42 (AREA CODE) STREET AD_-???/ON'" / (!,ULP???•(l?, . CITY: STAT ZIP: ilZ?..? SIGNATURE OF PERMITTEE PERMIT Permit Type: Building City of Eagan Permit Number: EA105940 Date Issued: 08/06/2012 Permit Category: ePermit Site Address: 1656 Oakbrooke Way Lot: 3 Block: 1 Addition: Oakbrooke 3rd PID: 10-53762-01-030 Use: Description: Sub Type: e-Reroof Construction Type: Work Type: Replace Description: House & Garage Census Code: 434 - Occupancy: Zoning: Square Feet: 0 If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are Comments: not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes. BL - Base Fee $4K $103.25 0801.4085 Fee Summary: Surcharge - Based on Valuation $4K $2.00 9001.2195 Valuation: 4,000.00 Total: $105.25 Contractor: Owner: - Applicant - Krech Exteriors Inc Gail D Bauer 5866 Blackshire Path 1656 Oakbrooke Way Inver Grove Heights MN 55076 Eagan MN 55122 (651) 688-6368 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA125041 Date Issued:07/16/2014 Permit Category:ePermit Site Address: 1656 Oakbrooke Way Lot:3 Block: 1 Addition: Oakbrooke 3rd PID:10-53762-01-030 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Gail D Bauer 1656 Oakbrooke Way Eagan MN 55122 Property Claim Solutions LLC 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA128006 Date Issued:10/22/2014 Permit Category:ePermit Site Address: 1656 Oakbrooke Way Lot:3 Block: 1 Addition: Oakbrooke 3rd PID:10-53762-01-030 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Lisa Nyberg Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Gail D Bauer 1656 Oakbrooke Way Eagan MN 55122 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature